HRI Total Care Plan - 25945OH0020003 Health Insurance Plan
Health Resources of Ohio Inc health insurance plan with the Plan ID 25945OH0020003. The plan is called HRI Total Care Plan.
| Health Insurance Plan ID | 25945OH0020003 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | Ohio | ||||||||||||||||||
| Health Insurance Issuer | Health Resources of Ohio Inc | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 25945OH0020003-01 | ||||||||||||||||||
| Provider Network(s) | PARTICIPATING | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Thu, 21 Nov 2024 00:44 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 13 May 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Thu, 21 Nov 2024 00:44 GMT |
Benefits of HRI Total Care Plan Health Insurance Plan, 25945OH0020003-01
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Accidental Dental
|
NO | ||
| Basic Dental Care - Adult
Filings are limited to replacement once every 2 years. Waiting periods may apply. See detailed information in your benefits summary. |
YES | 30.00% Coinsurance after deductible |
60.00% Coinsurance after deductible |
| Basic Dental Care - Child
|
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Dental Check-Up for Children
Limit: 2.0 Exam(s) per Year Limit of 2 cleanings and 2 exams per year. |
YES | No Charge |
50.00% |
| Major Dental Care - Adult
Crowns are limited to replacement every 5 years. Waiting periods may apply. See detailed information in your benefits summary. |
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Major Dental Care - Child
Crowns are limited to replacement every 5 years. |
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
Limited to Medically Necessary Orthodontia. See detailed information in your benefits summary. |
YES | 50.00% |
75.00% |
| Routine Dental Services (Adult)
Limit: 2.0 Exam(s) per Year Limit of 2 cleanings and 2 exams per year. |
YES | No Charge |
50.00% |
HRI Total Care Plan Health Insurance Plan Variant 25945OH0020003-01 Attributes
| Plan Attribute | Value |
|---|---|
| Begin Primary Care Cost-Sharing After Number Of Visits | 0 |
| Begin Primary Care Deductible Coinsurance After Number Of Copays | 0 |
| Business Year | 2025 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Low On Exchange Plan |
| Dental Only Plan | Yes |
| EHB Apportionment for Pediatric Dental | 1.0 |
| First Tier Utilization | 100% |
| HIOS Product ID | 25945OH002 |
| Import Date | 2024-05-13 20:01:44 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Guaranteed Rate |
| New/Existing Plan | Existing |
| Issuer ID | 25945 |
| Issuer Marketplace Marketing Name | Paramount Dental |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group | $850 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person | $425 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $425 |
| Medical EHB Deductible, Combined In/Out of Network, Family Per Group | per group not applicable |
| Medical EHB Deductible, Combined In/Out of Network, Family Per Person | per person not applicable |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $25 |
| Medical EHB Deductible, In Network (Tier 1), Family Per Group | per group not applicable |
| Medical EHB Deductible, In Network (Tier 1), Family Per Person | per person not applicable |
| Medical EHB Deductible, In Network (Tier 1), Individual | $25 |
| Medical EHB Deductible, Out of Network, Family Per Group | per group not applicable |
| Medical EHB Deductible, Out of Network, Family Per Person | per person not applicable |
| Medical EHB Deductible, Out of Network, Individual | $25 |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group | $850 per group |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person | $425 per person |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual | $425 |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Group | $850 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person | $425 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | $425 |
| Metal Level | Low |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | OHN001 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Any licensed dental provider with the United States |
| Plan Brochure | URL |
| Plan Effective Date | 2025-01-01 |
| Plan Expiration Date | 2025-12-31 |
| Plan ID (Standard Component ID with Variant) | 25945OH0020003-01 |
| Plan Marketing Name | HRI Total Care Plan |
| Plan Type | PPO |
| Plan Variant Marketing Name | HRI Total Care Plan |
| QHP/Non QHP | On the Exchange |
| Service Area ID | OHS001 |
| Source Name | SERFF |
| Plan ID | 25945OH0020003 |
| State Code | OH |
| URL for Enrollment Payment | URL |
| URL for Summary of Benefits & Coverage | URL |
Copay & Coinsurance of HRI Total Care Plan Health Insurance Plan, 25945OH0020003
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about HRI Total Care Plan, 25945OH0020003 Health Insurance Plan, 25945OH0020003
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Does HRI Total Care Plan Health Insurance Plan, 25945OH0020003 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (25945OH0020003) Health Insurance Plan, Variant (25945OH0020003-01) have Out Of Country Coverage?
Does (25945OH0020003) Health Insurance Plan, Variant (25945OH0020003-01) have Out of Service Area Coverage?
Disclaimer: This is based on the import(Date: Thu, 21 Nov 2024 00:44 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API